PERS ODS Advantage Rx disenrollment
PERS ODS Advantage Rx is sponsored by the PERS Health Insurance Program. Disenrolling from the PERS ODS Advantage Rx plan may disenroll you from PERS. You may want to call the PERS Health Insurance Program at 503-224-7377 or toll-free at 800-768-7377 (TTY, 800-433-6313), Monday through Friday, from 7:30 a.m. to 5:30 p.m., Pacific Time, to discuss your options. If you leave the PERS Health Insurance Program, you may not be able to return to the PERS Health Insurance Program.
Whether leaving the plan is your choice or not, please review the Ending your membership in the plan section of our Combined Annual Notice of Changes — Evidence of Coverage. This section explains your Medicare coverage choices after you leave and the rules that apply.
updated 10/2009
S5975-801
S5975_4006EGRX10A (11/2009)
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